| NPI | 1497850887 |
|---|---|
| Former Name | JESSIE KIMBROUGH-SUGICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301076856) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 230213) |
| 208000000X Pediatrics (Licence: MI 4301076856) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2014-10-31 |